Steerable multi-linked device having a modular link assembly
Summary by NHIP
Steerable multi-linked device with modular link assembly
The system comprises two multi-linked mechanisms where second links surround first links, and a modular assembly with a threaded base and two threaded tips attaches to an end. A printed circuit board may connect to the base, positioning electronic devices like LEDs or sensors between the base and tips to define working ports.
Claim Score by NHIP
Abstract
A steerable multi-linked device. The device includes a first multi-linked mechanism and a second multi-linked mechanism. At least one of the first and second multi-linked mechanisms is steerable and includes a modular link assembly at an end thereof. The modular link assembly includes a base, and a tip removably connected to the base.

Term
Projected expiry 24 October 2027.
- Priority
- Filed
- Granted
- Today
- Projected expiry
20 claims: 3 independent, 17 dependent
- 1A system comprising:a first multi-linked mechanism comprising a plurality of first links;a second multi-linked mechanism comprising a plurality of second links, wherein at least two of the second links are configured to surround at least two of the first links;a modular link assembly positioned at an end of at least one of the first multi-linked mechanism or the second multi-linked mechanism, wherein the modular link assembly comprises a base;a first tip configured to attach to the base;and a second tip configured to attach to the base.
- 13Broadest claimClaim Score 74, broad(NHIP)A system comprising:a first multi-linked mechanism comprising a plurality of first links;a second multi-linked mechanism comprising a plurality of second links, wherein at least two of the second links are configured to surround at least two of the first links;a modular link assembly releasably attached to an end of the first multi-linked mechanism, wherein the modular link assembly comprises a base;a first tip configured to attach to the base;and a second tip configured to attach to the base.
- 17A system comprising:a first multi-linked mechanism comprising a plurality of first links;a second multi-linked mechanism comprising a plurality of second links, wherein at least two of the second links are configured to surround at least two of the first links;a modular link assembly releasably attached to an end of the second multi-linked mechanism, wherein the modular link assembly comprises a base;a first tip configured to attach to the base;and a second tip configured to attach to the base.
Independent claims3
102 paragraphs in 5 sections, as filed
CROSS-REFERENCE TO RELATED APPLICATION
0001This application claims priority to, and is a continuation of U.S. patent application Ser. No. 12/943,669, filed on Nov. 10, 2010, which claims priority to, and is a continuation of U.S. patent application Ser. No. 11/923,246, filed on Oct. 24, 2007, which claims priority to U.S. patent application Ser. No. 60/862,636, filed on Oct. 24, 2006, the disclosures of which are incorporated herein by reference in their entireties.
0002Not applicable
BACKGROUND
0003This application discloses an invention that is related, generally and in various embodiments, to a modular link assembly for a multi-linked device.
0004There are many types of steerable multi-linked devices, and such devices are utilized in a variety of different applications. In general, the steerable end of such devices is a fixed component which limits the versatility of the device. For example, the fixed component at the steerable end of a given multi-linked device may render the device suitable for only a single specific application.
SUMMARY
0005In one general respect, this application discloses a steerable multi-linked device. According to various embodiments, the device includes a first multi-linked mechanism and a second multi-linked mechanism. At least one of the first and second multi-linked mechanisms is steerable and includes a modular link assembly at an end thereof. The modular link assembly includes a base, and a tip removably connected to the base.
DESCRIPTION OF DRAWINGS
0006Various embodiments of the invention are described herein by way of example in conjunction with the following figures.
0007<figref idref="DRAWINGS">FIGS. 1A and 1B</figref> illustrate various embodiments of a steerable multi-linked device;
0008<figref idref="DRAWINGS">FIG. 2</figref> illustrates various embodiments of a core mechanism of the device of <figref idref="DRAWINGS">FIG. 1</figref>;
0009<figref idref="DRAWINGS">FIGS. 3A-3C</figref> illustrate various embodiments of a proximal link of the core mechanism;
0010<figref idref="DRAWINGS">FIGS. 4A-4C</figref> illustrate various embodiments of an intermediate link of the core mechanism;
0011<figref idref="DRAWINGS">FIGS. 5A-5C</figref> illustrate various embodiments of a distal link of the core mechanism;
0012<figref idref="DRAWINGS">FIG. 6</figref> illustrates various embodiments of a sleeve mechanism of the device of <figref idref="DRAWINGS">FIG. 1</figref>;
0013<figref idref="DRAWINGS">FIGS. 7A-7C</figref> illustrate various embodiments of a proximal link of the sleeve mechanism <b>1</b>;
0014<figref idref="DRAWINGS">FIGS. 8A-8C</figref> illustrate various embodiments of an intermediate link of the sleeve mechanism;
0015<figref idref="DRAWINGS">FIGS. 9A-9D</figref> illustrate various embodiments of a distal link of the sleeve mechanism;
0016<figref idref="DRAWINGS">FIG. 10</figref> illustrates various embodiments of a motion sequence of the device of <figref idref="DRAWINGS">FIG. 1</figref>;
0017<figref idref="DRAWINGS">FIG. 11</figref> illustrates various embodiments of a steerable multi-linked device traversing a path having tight curvatures;
0018<figref idref="DRAWINGS">FIGS. 12A-12C</figref> illustrate various embodiments of a modular link assembly for a multi-linked device;
0019<figref idref="DRAWINGS">FIGS. 13A-13C</figref> illustrate various embodiments of a base of the modular link assembly of <figref idref="DRAWINGS">FIG. 12A</figref>;
0020<figref idref="DRAWINGS">FIGS. 14A-14D</figref> illustrate various embodiments of a tip of the modular link assembly of <figref idref="DRAWINGS">FIG. 12A</figref>; and
0021<figref idref="DRAWINGS">FIG. 15</figref> illustrates various embodiments of a modular link assembly for a multi-linked device.
DETAILED DESCRIPTION
0022It is to be understood that at least some of the figures and descriptions of the invention have been simplified to focus on elements that are relevant for a clear understanding of the invention, while eliminating, for purposes of clarity, other elements that those of ordinary skill in the art will appreciate may also comprise a portion of the invention. However, because such elements are well known in the art, and because they do not necessarily facilitate a better understanding of the invention, a description of such elements is not provided herein.
0023According to various embodiments, the modular link assembly may be utilized as an end link of a variety of different multi-link devices. For example, the modular link assembly may be utilized as an end link on a multi-linked device such as the steerable multi-linked device described in <figref idref="DRAWINGS">FIGS. 1-11</figref>. For ease of explanation purposes, the modular link assembly will be described in the context of its use with various embodiments of the steerable multi-linked device described in <figref idref="DRAWINGS">FIGS. 1-11</figref>. However, one skilled in the art will appreciate that the modular link assembly may be utilized with other types of multi-linked devices.
0024<figref idref="DRAWINGS">FIGS. 1A and 1B</figref> illustrate various embodiments of a steerable multi-linked device <b>10</b>. Various embodiments of the device <b>10</b> may be utilized for medical procedures (e.g., minimally invasive procedures), for surveillance applications, for inspection applications, for search and rescue applications, etc. For purposes of clarity only, the utility of the device <b>10</b> will be described hereinbelow in the context of its applicability to medical procedures. However, a person skilled in the art will appreciate that the device <b>10</b> can be utilized in a variety of different applications.
0025The device <b>10</b> includes a first mechanism <b>12</b> and a second mechanism <b>14</b>. According to various embodiments, the second mechanism <b>14</b> is structured and arranged to receive and surround the first mechanism <b>12</b> as shown in <figref idref="DRAWINGS">FIG. 1B</figref>. For such embodiments, the first mechanism <b>12</b> may be considered the inner mechanism or the core mechanism, and the second mechanism <b>14</b> may be considered the outer mechanism or the sleeve mechanism. According to other embodiments, the first and second mechanisms <b>12</b>, <b>14</b> may be structured and arranged to have a relationship other than a concentric relationship. For example, one skilled in the art will appreciate that, according to various embodiments, the first and second mechanisms <b>12</b>, <b>14</b> may be structured and arranged to operate in a side-by-side arrangement, where the first mechanism <b>12</b> operates adjacent to the second mechanism <b>14</b>. As described in more detail hereinbelow, the first mechanism <b>12</b> may operate in either a rigid mode or a limp mode, the second mechanism <b>14</b> may operate in either a rigid mode or a limp mode, and the first and second mechanisms <b>12</b>, <b>14</b> may operate independent of one another. Both the first mechanism <b>12</b> and the second mechanism <b>14</b> may be steerable mechanisms. Accordingly, it will be appreciated that the device <b>10</b> may be utilized to navigate a luminal space as well as any three-dimensional path within an interactivity space. The device <b>10</b> may also include a first cable <b>16</b>, a second cable <b>18</b>, a third cable <b>20</b>, and a fourth cable <b>22</b>. The first, second and third cables <b>16</b>, <b>18</b>, <b>20</b> may be considered steering cables, and the fourth cable <b>22</b> may be considered a tensioning cable.
0026<figref idref="DRAWINGS">FIG. 2</figref> illustrates various embodiments of the first mechanism <b>12</b> of the device <b>10</b>. The first mechanism <b>12</b> is a multi-linked mechanism and includes a first end <b>24</b> and a second end <b>26</b>. The first end <b>24</b> may be considered the proximal end and the second end <b>26</b> may be considered the distal end. The first mechanism <b>12</b> includes a first link <b>28</b>, a second link <b>30</b>, and any number of intermediate links <b>32</b> between the first and second links <b>28</b>, <b>30</b>. The first link <b>28</b> may be considered the proximal link, and the second link <b>30</b> may be considered the distal link.
0027<figref idref="DRAWINGS">FIGS. 3A-3C</figref> illustrate various embodiments of the first link <b>28</b> (inner proximal link) of the first mechanism <b>12</b>. The first link <b>28</b> includes a first end <b>34</b> and a second end <b>36</b>, and defines a longitudinal axis <b>38</b> that passes through the center of the first end <b>34</b> and the center of the second end <b>36</b> as shown in <figref idref="DRAWINGS">FIG. 3B</figref>. The first link <b>28</b> may be fabricated from any suitable material. According to various embodiments, the first link <b>28</b> is fabricated from a fiber reinforced material such as, for example, G10/FR4 Garolite®. The first link <b>28</b> has a generally cylindrical shaped exterior and is described in more detail hereinbelow.
0028The first link <b>28</b> includes a first portion <b>40</b> and a second portion <b>42</b>. The first portion <b>40</b> may be considered the proximal portion and the second portion <b>42</b> may be considered the distal portion. The first portion <b>40</b> may be fabricated integral with the second portion <b>42</b>. The first portion <b>40</b> has a cylindrical shaped exterior, and extends from the first end <b>34</b> of the first link <b>28</b> toward the second end <b>36</b> of the first link <b>28</b>. According to various embodiments, the diameter of the first portion <b>40</b> is on the order of approximately 6.35 millimeters.
0029The second portion <b>42</b> has a generally cylindrically shaped exterior. The second portion <b>42</b> has a cylindrically shaped exterior where it contacts the first portion <b>40</b>, and tapers toward the second end <b>36</b> of the first link <b>28</b>. The second portion <b>42</b> may be shaped in the form of a generally segmented hemisphere at the second end <b>36</b> of the first link <b>28</b>. According to various embodiments, the diameter of the second portion <b>42</b> is on the order of approximately 4.75 millimeters where it contacts the first portion <b>40</b>.
0030The second portion <b>42</b> includes a first surface <b>44</b>. The first surface <b>44</b> may be considered the outer surface of the second portion <b>42</b>. The second portion <b>42</b> defines a first groove <b>46</b> parallel to the longitudinal axis <b>38</b> along the first surface <b>44</b>, a second groove <b>48</b> parallel to the longitudinal axis <b>38</b> along the first surface <b>44</b>, and a third groove <b>50</b> parallel to the longitudinal axis <b>38</b> along the first surface <b>44</b>. Each of the first, second and third grooves <b>46</b>, <b>48</b>, <b>50</b> extend along the first surface <b>44</b> toward the second end <b>36</b> of the first link <b>28</b>. The first, second and third grooves <b>46</b>, <b>48</b>, <b>50</b> may be semi-tubular shaped and may be evenly spaced about the first surface <b>44</b> of the second portion <b>42</b> of the first link <b>28</b> as shown in <figref idref="DRAWINGS">FIG. 3C</figref>. According to various embodiments, the first, second, and third grooves <b>46</b>, <b>48</b>, <b>50</b> may be configured in the shape of a segmented cylinder. The size of each of the grooves <b>46</b>, <b>48</b>, <b>50</b> may identical to one another or may be different from one another. For example, according to various embodiments, the first and second grooves <b>46</b>, <b>48</b> are configured as segments of a cylinder having a diameter on the order of approximately 1.25 millimeters, and the third groove <b>50</b> is configured as a segment of a cylinder having a diameter on the order of approximately 2.50 millimeters. The length of the first link <b>28</b> may be on the order of approximately 65 millimeters. However, one skilled in the art will appreciate that the length of the first link <b>28</b> can van based on the application.
0031The first link <b>28</b> also defines a passage <b>52</b> extending from the first end <b>34</b> to the second end <b>36</b> along the longitudinal axis <b>38</b> as shown in <figref idref="DRAWINGS">FIG. 3B</figref>. The passage <b>52</b> is of a size sufficient to allow tile fourth cable <b>22</b> to pass therethrough. According to various embodiments, the passage <b>52</b> is generally configured as a complex shape that includes a combination of a first cylinder <b>54</b> that extends from the first end <b>34</b> toward the second end <b>36</b>, and a second cylinder <b>56</b> that extends from the first cylinder <b>54</b> toward the second end <b>36</b>. The diameter of the first cylinder <b>54</b> is larger than the diameter of the second cylinder <b>56</b>. For example, according to various embodiments, the first cylinder <b>54</b> has a diameter on the order of approximately 3.20 millimeters and the second cylinder <b>56</b> has a diameter on the order of approximately 1.50 millimeters.
0032<figref idref="DRAWINGS">FIGS. 4A-4C</figref> illustrate various embodiments of one of the intermediate links <b>32</b> (inner intermediate link) of the first mechanism <b>12</b>. The intermediate link <b>32</b> is representative of the other intermediate links <b>32</b>. The intermediate link <b>32</b> includes a first end <b>58</b> and a second end <b>60</b>, and defines a longitudinal axis <b>62</b> that passes through the center of the first end <b>58</b> and the center of the second end <b>60</b> as shown in <figref idref="DRAWINGS">FIG. 4B</figref>. The intermediate link <b>32</b> may be fabricated from any suitable material. According to various embodiments, the intermediate link <b>32</b> is fabricated from a fiber reinforced material such as, for example, G10/FR4 Garolite®. The intermediate link <b>32</b> has a generally bullet-shaped exterior and is described in more detail hereinbelow.
0033The intermediate link <b>32</b> includes a first portion <b>64</b> and a second portion <b>66</b>. The first portion <b>64</b> may be considered the proximal portion and the second portion <b>66</b> may be considered the distal portion. The first portion <b>64</b> may be fabricated integral with the second portion <b>66</b>. The first portion <b>64</b> has a generally cylindrical shaped exterior, and extends from the first end <b>58</b> of the intermediate link <b>32</b> toward the second end <b>60</b> of the intermediate link <b>32</b>. According to various embodiments, the second portion <b>66</b> has a generally cylindrically shaped exterior where it contacts the first portion <b>64</b> and tapers toward the second end <b>60</b> of the intermediate link <b>32</b>. The exterior of the second portion <b>66</b> is configured in the form of a generally segmented hemisphere. According to various embodiments, the diameter of the intermediate link <b>32</b> is on the order of approximately 4.75 millimeters at the first end <b>58</b> thereof. The length of the intermediate link <b>32</b> may be on the order of approximately 5.85 millimeters. However, one skilled in the art will appreciate that the length of the intermediate link <b>32</b> can vary based on the application.
0034The intermediate link <b>32</b> also includes a first surface <b>68</b> that extends from the first end <b>58</b> of the intermediate link <b>32</b> to the second end <b>60</b> of the intermediate link <b>32</b>. The first surface <b>68</b> may be considered the outer surface of the intermediate link <b>32</b>. The intermediate link <b>32</b> also defines a first groove <b>70</b> parallel to the longitudinal axis <b>62</b> along the first surface <b>68</b>, a second groove <b>72</b> parallel to the longitudinal axis <b>62</b> along the first surface <b>68</b>, and a third groove <b>74</b> parallel to the longitudinal axis <b>62</b> along the first surface <b>68</b>. Each of the first, second and third grooves <b>70</b>, <b>72</b>, <b>74</b> extend along the first surface <b>68</b> from the first end <b>58</b> of the intermediate link <b>32</b> toward the second end <b>60</b> of the intermediate link <b>32</b>. The first, second and third grooves <b>70</b>, <b>72</b>, <b>74</b> may be semi-tubular shaped and may be evenly spaced about the first surface <b>68</b> of the intermediate link <b>32</b> as shown in <figref idref="DRAWINGS">FIG. 4C</figref>. According to various embodiments the first, second, and third grooves <b>70</b>, <b>72</b>, <b>74</b> may be configured in the shape of a segmented cylinder. The size of each of the grooves <b>70</b>, <b>72</b>, <b>74</b> may identical to one another or may be different from one another. For example, according to various embodiments, the first and second grooves <b>70</b>, <b>72</b> are configured as segments of a cylinder having a diameter on the order of approximately 1.75 millimeters at the first end <b>58</b> of the intermediate link <b>32</b>, and the third groove <b>74</b> is configured as a segment of a cylinder having a diameter on the order of approximately 2.50 millimeters at the first end <b>58</b> of the intermediate link <b>32</b>. The first, second and third grooves <b>70</b>, <b>72</b>, <b>74</b> are each configured to receive and partially surround any of a variety of tools or instruments (e.g., ablation tools) which may pass from the first end <b>24</b> of the multi-linked device <b>1</b>I to the second end <b>26</b> of the multi-linked device <b>10</b>.
0035The intermediate link <b>32</b> also defines a passage <b>76</b> extending from the first end <b>58</b> to the second end <b>60</b> along the longitudinal axis <b>62</b> as shown in <figref idref="DRAWINGS">FIG. 4B</figref>. The passage <b>76</b> is of a size sufficient to allow the fourth cable <b>22</b> to pass therethrough. According to various embodiments, the passage <b>76</b> is generally configured as a complex shape that includes a combination of a first segmented hemisphere <b>78</b> that extends from the first end <b>58</b> toward the second end <b>60</b>, a second segmented hemisphere <b>80</b> that extends from the first segmented hemisphere <b>78</b> toward the second end <b>60</b>, a cylinder <b>82</b> that extends from the second segmented hemisphere <b>80</b> toward the second end <b>60</b>, and a third segmented hemisphere <b>84</b> that extends from the cylinder <b>82</b> to the second end <b>60</b> of the intermediate link <b>32</b>. According to various embodiments, the first segmented hemisphere <b>78</b> represents a portion of a sphere having a diameter on the order of approximately 4.75 millimeters, the second segmented hemisphere <b>80</b> represents a portion of a sphere having a diameter on the order of approximately 2.25 millimeters, the cylinder <b>82</b> has a diameter on the order of approximately 1.0 millimeter, and the third segmented hemisphere <b>84</b> represents a portion of a sphere having a diameter on the order of approximately 2.25 millimeters.
0036The first segmented hemisphere <b>78</b> of the passage <b>76</b> is configured to receive the second end <b>36</b> of the first link <b>28</b> when the first link <b>28</b> is coupled to the intermediate link <b>32</b>. Similarly, for a given intermediate link <b>32</b>, the first segmented hemisphere <b>78</b> of the passage <b>76</b> is configured to receive the second end <b>60</b> of another intermediate link <b>32</b> when the other intermediate link <b>32</b> is coupled to the given intermediate link <b>32</b>. The third segmented hemisphere <b>84</b> may serve to reduce the pinching or binding of the fourth cable <b>22</b> when one intermediate link <b>32</b> moves relative to an adjacent intermediate link <b>32</b> coupled thereto. Similarly, when the second link <b>30</b> is coupled to a given intermediate link <b>32</b>, the third segmented hemisphere <b>84</b> may serve to reduce the pinching or binding of the fourth cable <b>22</b> when the second link <b>30</b> moves relative to the given intermediate link <b>32</b>.
0037With the above described structure, the first link <b>28</b> may be coupled to the intermediate link <b>32</b> by seating the second end <b>36</b> of the first link <b>28</b> in the first segmented hemisphere <b>78</b> of the passage <b>76</b> of the intermediate link <b>32</b>. As the convex configuration of the second end <b>36</b> of the first link <b>28</b> generally corresponds with the concave configuration of the first segmented hemisphere <b>78</b> of the passage <b>76</b> of the intermediate link <b>32</b>, the first link <b>28</b> may be coupled to the intermediate link <b>32</b> such that the longitudinal axis <b>38</b> and the first, second and third grooves <b>46</b>, <b>48</b>, <b>50</b> of the first link <b>28</b> are respectively aligned with the longitudinal axis <b>62</b> and the first, second and third grooves <b>70</b>, <b>72</b>, <b>74</b> of the intermediate link <b>32</b>. The intermediate link <b>32</b> may be moved relative to the first link <b>28</b> such that the longitudinal axis <b>62</b> of the intermediate link <b>32</b> is not aligned with the longitudinal axis <b>38</b> of the first link <b>28</b>. According to various embodiments, the configuration of the first link <b>28</b> and the intermediate link <b>32</b> allows for the intermediate link <b>32</b> to be moved relative to the first link <b>28</b> coupled thereto such that the longitudinal axis <b>38</b> of the first link <b>28</b> and the longitudinal axis <b>62</b> of the intermediate link <b>32</b> are up to approximately 25° out of alignment with one another. Similarly, one intermediate link <b>32</b> may be coupled to another intermediate link <b>32</b>, and so on, by seating the second end <b>60</b> of one intermediate link <b>32</b> in the first segmented hemisphere <b>78</b> of the passage <b>76</b> of another intermediate link <b>32</b>. As the convex configuration of the second end <b>60</b> of the intermediate link <b>32</b> generally corresponds with the concave configuration of the first segmented hemisphere <b>78</b> of the passage <b>76</b> of the intermediate link <b>32</b>, the intermediate links <b>32</b> may be coupled such that the respective longitudinal axes <b>62</b> and the respective first, second and third grooves <b>46</b>, <b>48</b>, <b>50</b> of the intermediate links <b>32</b> are aligned. The coupled intermediate links <b>32</b> may be moved relative to one another such that the respective longitudinal axes <b>62</b> of the coupled intermediate links <b>32</b> are not aligned. According to various embodiments, the configuration of the coupled intermediate links <b>32</b> allows for one intermediate link <b>32</b> to be moved relative to an adjacent intermediate link <b>32</b> coupled thereto such that the respective longitudinal axes <b>62</b> are up to approximately 25° out of alignment with one another.
0038<figref idref="DRAWINGS">FIGS. 5A-5C</figref> illustrate various embodiments of the second link <b>30</b> (inner distal link) of the first mechanism <b>12</b>. The second link <b>30</b> includes a first end <b>86</b> and a second end <b>38</b>, and defines a longitudinal axis <b>90</b> that passes through the center of the first end <b>86</b> and the center of the second end <b>88</b> as shown in <figref idref="DRAWINGS">FIG. 5B</figref>. The second link <b>30</b> may be fabricated from any suitable material. According to various embodiments, the second link <b>30</b> is fabricated from a thermoplastic material such as, for example, Delrin®.
0039The second link <b>30</b> includes a first portion <b>92</b> and a second portion <b>94</b>. The first portion <b>92</b> may be considered the proximal portion and the second portion <b>94</b> may be considered the distal portion. The first portion <b>92</b> may be fabricated integral with the second portion <b>94</b>. The first portion <b>92</b> has a generally cylindrical shaped exterior, and extends from the first end <b>86</b> of the second link <b>30</b> toward the second end <b>88</b> of the second link <b>30</b>. According to various embodiments, the second portion <b>94</b> has a generally cylindrically shaped exterior where it contacts the first portion <b>92</b>, and tapers toward the second end <b>88</b> of the second link <b>30</b>. The exterior of the second portion <b>64</b> is configured in the form of a generally segmented cone. According to various embodiments, the diameter of the second link <b>30</b> is on the order of approximately 4.75 millimeters at the first end <b>86</b> thereof, and the taper of the second portion <b>94</b> is at an angle of approximately 30° relative to the exterior of the first portion <b>92</b>. The length of the second link <b>30</b> may be on the order of approximately 5.90 millimeters. However, one skilled in the art will appreciate that the length of the second link <b>30</b> can vary based on the application.
0040The second link <b>30</b> also includes a first surface <b>96</b> that extends from the first end <b>86</b> of the second link <b>30</b> to the second end <b>88</b> of the second link <b>30</b>. The first surface <b>96</b> may be considered the outer surface of the second link <b>30</b>. The second link <b>30</b> also defines a first groove <b>98</b> parallel to the longitudinal axis <b>90</b> along the first surface <b>96</b>, a second groove <b>100</b> parallel to the longitudinal axis <b>90</b> along the first surface <b>96</b>, and a third groove <b>102</b> parallel to the longitudinal axis <b>90</b> along the first surface <b>96</b>. Each of the first, second and third grooves <b>98</b>, <b>100</b>, <b>102</b> extend along the first surface <b>96</b> from the first end <b>86</b> of the second link <b>30</b> toward the second end <b>88</b> of the second link <b>30</b>. The first, second and third grooves <b>98</b>, <b>100</b>, <b>102</b> may be semi-tubular shaped and may be evenly spaced about the first surface <b>96</b> of the second link <b>30</b> as shown in <figref idref="DRAWINGS">FIG. 5C</figref>. According to various embodiments, the first, second, and third grooves <b>98</b>, <b>100</b>, <b>102</b> may be configured in the shape of a segmented cylinder. The size of each of the grooves <b>98</b>, <b>100</b>, <b>102</b> may identical to one another or may be different from one another. For example, according to various embodiments, the first and second grooves <b>98</b>, <b>100</b> are configured as segments of a cylinder having a diameter on the order of approximately 125 millimeters at the first end <b>86</b> of the second link <b>30</b>, and the third groove <b>102</b> is configured as a segment of a cylinder having a diameter on the order of approximately 2.50 millimeters at the first end <b>86</b> of the second link <b>30</b>. The first, second and third grooves <b>98</b>, <b>100</b>, <b>102</b> are each configured to receive and partially surround any of a variety of tools or instruments (e.g., ablation tools) which may pass from the first end <b>24</b> of the multi-linked device <b>10</b> to the second end <b>26</b> of the multi-linked device <b>10</b>.
0041The second link <b>30</b> also defines a passage <b>104</b> extending from the first end <b>86</b> to the second end <b>88</b> along the longitudinal axis <b>90</b> as shown in <figref idref="DRAWINGS">FIG. 5B</figref>. The passage <b>104</b> is of a size sufficient to allow the fourth cable <b>22</b> to pass therethrough. According to various embodiments, the passage <b>104</b> is generally configured as a complex shape that includes a combination of a first segmented hemisphere <b>106</b> that extends from the first end <b>86</b> toward the second end <b>88</b>, a second segmented hemisphere <b>108</b> that extends from the first segmented hemisphere <b>106</b> toward the second end <b>88</b>, and a cylinder <b>110</b> that extends from the second segmented hemisphere <b>108</b> to the second end <b>88</b> of the second link <b>30</b>. According to various embodiments, the first segmented hemisphere <b>106</b> represents a portion of a sphere having a diameter on the order of approximately 4.75 millimeters, the second segmented hemisphere <b>108</b> represents a portion of a sphere having a diameter on the order of approximately 2.50 millimeters, and the cylinder <b>110</b> has a diameter on the order of approximately 1.0 millimeter. The first segmented hemisphere <b>106</b> of the passage <b>104</b> is configured to receive the second end <b>60</b> of an intermediate link <b>32</b> when the intermediate link <b>32</b> is coupled to the second link <b>30</b>.
0042With the above described structure, an intermediate link <b>32</b> may he coupled to the second link <b>30</b> by seating the second end <b>60</b> of the intermediate link <b>32</b> in the first segmented hemisphere <b>106</b> of the passage <b>104</b> of the second link <b>30</b>. As the convex configuration of the second end <b>60</b> of the intermediate link <b>32</b> generally corresponds with the concave configuration of the first segmented hemisphere <b>106</b> of the passage <b>104</b> of the second link <b>30</b>, the intermediate link <b>32</b> may be coupled to the second link <b>30</b> such that the longitudinal axis <b>62</b> and the first, second and third grooves <b>70</b>, <b>72</b>, <b>74</b> of the intermediate link <b>32</b> are respectively aligned with the longitudinal axis <b>90</b> and the first, second and third grooves <b>98</b>, <b>100</b>, <b>102</b> of the second link <b>30</b>. The second link <b>30</b> may be moved relative to the intermediate link <b>32</b> coupled thereto such that the respective longitudinal axes <b>62</b>, <b>90</b> are not aligned. According to various embodiments, the configuration of the second link <b>30</b> allows for an intermediate link <b>32</b> coupled thereto to be moved relative to the second link <b>30</b> such that the respective longitudinal axes <b>62</b>, <b>90</b> are up to approximately 25° out of alignment with one another.
0043<figref idref="DRAWINGS">FIG. 6</figref> illustrates various embodiments of the second mechanism <b>14</b> of the device <b>10</b>. The second mechanism <b>14</b> is a multi-linked mechanism and includes a first end <b>120</b> and a second end <b>122</b>. The first end <b>120</b> may be considered the proximal end and the second end <b>122</b> may be considered the distal end. The second mechanism <b>14</b> includes a first link <b>124</b>, a second link <b>126</b>, and any number of intermediate links <b>128</b> between the first and second links <b>124</b>, <b>126</b>. The first link <b>124</b> may be considered the proximal link, and the second link <b>126</b> may be considered the distal link.
0044<figref idref="DRAWINGS">FIGS. 7A-7C</figref> illustrate various embodiments of the first link <b>124</b> (outer proximal link) of the second mechanism <b>14</b>. The first link <b>124</b> includes a first end <b>130</b> and a second end <b>132</b>, and defines a longitudinal axis <b>134</b> that passes through the center of the first end <b>130</b> and the center of the second end <b>132</b> as shown in <figref idref="DRAWINGS">FIG. 7B</figref>. The first link <b>124</b> may be fabricated from any suitable material. According to various embodiments, the first link <b>124</b> is fabricated from a stainless steel material such as, for example, 316 stainless steel. The first link <b>124</b> has a generally bullet-shaped exterior and is described in more detail hereinbelow.
0045The first link <b>124</b> includes a first portion <b>136</b> and a second portion <b>138</b>. The first portion <b>136</b> may be considered the proximal portion and the second portion <b>138</b> may be considered the distal portion. The first portion <b>136</b> may be fabricated integral with the second portion <b>138</b>. The first portion <b>136</b> has a cylindrical shaped exterior, and extends from the first end <b>130</b> of the first link <b>124</b> toward the second end <b>132</b> of the first link <b>124</b>. According to various embodiments, the diameter of the first portion <b>136</b> is on the order of approximately 12.70 millimeters.
0046The second portion <b>138</b> has a generally cylindrically shaped exterior. The second portion <b>138</b> has a cylindrically shaped exterior where it contacts the first portion <b>136</b>, and tapers toward the second end <b>132</b> of the first link <b>124</b>. The second portion <b>138</b> may be shaped in the form of a generally segmented hemisphere at the second end <b>132</b> of the first link <b>124</b>. According to various embodiments, the diameter of the second portion <b>138</b> is on the order of approximately 9.50 millimeters where it contacts the first portion <b>136</b>.
0047The second portion <b>138</b> includes a first surface <b>140</b>. The first surface <b>140</b> may be considered the outer surface of the second portion <b>138</b>. The second portion <b>138</b> defines a first groove <b>142</b> along the first surface <b>140</b>, a second groove <b>144</b> along the first surface <b>140</b>, and a third groove <b>146</b> along the first surface <b>140</b>. Each of the first, second and third grooves <b>142</b>, <b>144</b>, <b>146</b> are oblique relative to the longitudinal axis <b>134</b> and extend along the first surface <b>140</b> toward the second end <b>132</b> of the first link <b>124</b>. According to various embodiments, each of the grooves <b>142</b>, <b>144</b>, <b>146</b> are oriented at an angle on the order of approximately 15° relative to the longitudinal axis <b>134</b>. As shown in <figref idref="DRAWINGS">FIG. 7C</figref>, the first, second and third grooves <b>142</b>, <b>144</b>, <b>146</b> may be evenly spaced about the first surface <b>140</b> of the first link <b>124</b>. According to various embodiments, the first, second, and third grooves <b>142</b>, <b>144</b>, <b>146</b> may be configured in the shape of a segmented cylinder. The size of each of the grooves <b>142</b>, <b>144</b>, <b>146</b> may identical to one another or may be different from one another. For example, according to various embodiments, each of the grooves <b>142</b>, <b>144</b>, <b>146</b> are configured as segments of respective cylinders having diameters on the order of approximately 3.0 millimeters. The first, second and third grooves <b>142</b>, <b>144</b>, <b>146</b> are each configured to facilitate the introduction various tools or instruments (e.g., ablation tools) into the multi-linked device <b>10</b>. The length of the first link <b>124</b> may be on the order of approximately 18.5 millimeters. However, one skilled in the art will appreciate that the length of the first link <b>124</b> can vary based on the application.
0048The first link <b>124</b> also defines a passage <b>148</b> extending from the first end <b>130</b> to the second end <b>132</b> along the longitudinal axis <b>134</b> as shown in <figref idref="DRAWINGS">FIG. 7B</figref>. The passage <b>148</b> is of a size sufficient to allow the first mechanism <b>12</b> to pass therethrough. According to various embodiments, the passage <b>148</b> is generally configured as a complex shape that includes a combination of a segmented cone <b>150</b> that extends from the first end <b>130</b> toward the second end <b>132</b>, and a cylinder <b>152</b> that extends from the segmented cone <b>150</b> to the second end <b>132</b> of the first link <b>124</b>. According to various embodiments, the segmented cone <b>150</b> has a diameter on the order of approximately 7.0 millimeters at the first end <b>130</b> of the first link <b>124</b>, and is tapered at an angle on the order of approximately 45° relative to the longitudinal axis <b>134</b>. The cylinder <b>152</b> has a diameter on the order of approximately 5.50 millimeters.
0049The first link <b>124</b> also defines a first through-hole <b>154</b>, a second through-hole <b>156</b>, and a third through-hole <b>158</b>. (See <figref idref="DRAWINGS">FIG. 7C</figref>). The first through-hole <b>154</b> is substantially parallel to the longitudinal axis <b>134</b>, extends from the first portion <b>136</b> toward the second end <b>132</b>, and is positioned between the passage <b>148</b> and the first surface <b>140</b>. The second through-hole <b>156</b> is substantially parallel to the longitudinal axis <b>134</b>, extends from the first portion <b>136</b> to the second end <b>132</b>, and is positioned between the passage <b>148</b> and the first surface <b>140</b>. The third through-hole <b>158</b> is substantially parallel to the longitudinal axis <b>134</b>, extends from the first portion <b>136</b> to the second end <b>132</b>, and is positioned between the passage <b>148</b> and the first surface <b>140</b>. The first, second and third through-holes <b>154</b>, <b>156</b>, <b>158</b> are generally cylindrically shaped. According to various embodiments, the through-holes <b>154</b>, <b>156</b>, <b>158</b> are evenly spaced from one another as shown in <figref idref="DRAWINGS">FIG. 7C</figref>. The size of each of the through-holes <b>154</b>, <b>156</b>, <b>158</b> may be identical to one another or may be different from one another. For example, according to various embodiments, the respective diameters associated with the through-holes <b>154</b>, <b>156</b>, <b>158</b> may each be on the order of approximately 1.20 millimeters. The first through-hole <b>154</b> is configured to receive and surround the first cable <b>16</b>. The second through-hole <b>156</b> is configured to receive and surround the second cable <b>18</b>. The third through-hole <b>158</b> is configured to receive and surround the third cable <b>20</b>. The first, second and third through-holes <b>154</b>, <b>156</b>, <b>158</b> may serve as guidepaths for movement of the first, second and third cables <b>16</b>, <b>18</b>, <b>20</b>.
0050<figref idref="DRAWINGS">FIGS. 8A-8C</figref> illustrate various embodiments of one of the intermediate links <b>128</b> (outer intermediate link) of the second mechanism <b>14</b>. The intermediate link <b>128</b> is representative of the other intermediate links <b>128</b>. The intermediate link <b>128</b> includes a first end <b>160</b> and a second end <b>162</b>, and defines a longitudinal axis <b>164</b> that passes through the center of the first end <b>160</b> and the center of the second end <b>162</b> as shown in <figref idref="DRAWINGS">FIG. 8B</figref>. The intermediate link <b>128</b> may be fabricated from any suitable material. According to various embodiments, the intermediate link <b>128</b> is fabricated from a polymer thermoplastic material such as, for example, polysulfone. The intermediate link <b>128</b> has a generally bullet-shaped exterior and is described in more detail hereinbelow.
0051The intermediate link <b>128</b> includes a first portion <b>166</b> and a second portion <b>168</b>. The first portion <b>166</b> may be considered the proximal portion and the second portion <b>168</b> may be considered the distal portion. The first portion <b>166</b> may be fabricated integral with the second portion <b>168</b>. The first portion <b>166</b> has a generally cylindrical shaped exterior, and extends from the first end <b>160</b> of the intermediate link <b>128</b> toward the second end <b>162</b> of the intermediate link <b>128</b>. According to various embodiments, the second portion <b>168</b> has a generally cylindrically shaped exterior where it contacts the first portion <b>166</b>, and tapers toward the second end <b>162</b> of the intermediate link <b>128</b>. The exterior of the second portion <b>168</b> is configured in the form of a generally segmented hemisphere. According to various embodiments, the diameter of the intermediate link <b>128</b> is on the order of approximately 9.65 millimeters at the first end <b>160</b> thereof. The length of the intermediate link <b>128</b> may be on the order of approximately 8.40 millimeters. However, one skilled in the art will appreciate that the length of the intermediate link <b>128</b> can vary based on the application.
0052The intermediate link <b>128</b> also includes a first surface <b>170</b> that extends from the first end <b>160</b> of the intermediate link <b>128</b> to the second end <b>162</b> of the intermediate link <b>128</b>, and a second surface <b>170</b> that extends from the first end <b>160</b> of the intermediate link <b>128</b> to the second end <b>162</b> of the intermediate link <b>128</b>. The first surface <b>170</b> may be considered the outer surface of the intermediate link <b>128</b>, and the second surface <b>172</b> may be considered the inner surface of the intermediate link <b>128</b>. The intermediate link <b>32</b> also defines a first groove <b>174</b> substantially parallel to the longitudinal axis <b>164</b> along the second surface <b>172</b>, a second groove <b>176</b> substantially parallel to the longitudinal axis <b>164</b> along the second surface <b>172</b>, and a third groove <b>178</b> substantially parallel to the longitudinal axis <b>164</b> along the second surface <b>172</b>. Each of the first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b> extend along the second surface <b>172</b> toward the second end <b>162</b> of the intermediate link <b>128</b>. The first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b> may be semi-tubular shaped and may be evenly spaced about the second surface <b>172</b> of the intermediate link <b>128</b> as shown in <figref idref="DRAWINGS">FIG. 8C</figref>. According to various embodiments, the first, second, and third grooves <b>174</b>, <b>176</b>, <b>178</b> may be configured in the shape of a segmented cylinder. The size of each of the grooves <b>174</b>, <b>176</b>, <b>178</b> may identical to one another or may be different from one another. For example, according to various embodiments, the first and second grooves <b>174</b>, <b>176</b> are configured as segments of cylinders having diameters on the order of approximately 1.75 millimeters at the first end <b>160</b> of the intermediate link <b>128</b>, and the third groove <b>178</b> is configured as a segment of a cylinder having a diameter on the order of approximately 2.50 millimeters at the first end <b>160</b> of the intermediate link <b>128</b>. The first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b> are each configured to receive and partially surround any of a variety of tools or instruments (e.g., ablation tools) which may pass from the first end <b>24</b> of the multi-linked device <b>10</b> to the second end <b>26</b> of the multi-linked device <b>10</b>.
0053The intermediate link <b>128</b> also defines a passage <b>180</b> extending from the first end <b>160</b> to the second end <b>162</b> along the longitudinal axis <b>164</b> as shown in <figref idref="DRAWINGS">FIG. 8B</figref>. The passage <b>180</b> is of a size sufficient to allow the first mechanism <b>12</b> to pass therethrough. According to various embodiments, the passage <b>180</b> is generally configured as a complex shape that includes a combination of a segmented hemisphere <b>182</b> that extends from the first end <b>160</b> toward the second end <b>162</b>, a first segmented cone <b>184</b> that extends from the segmented hemisphere <b>182</b> toward the second end <b>162</b>, a cylinder <b>186</b> that extends from the first segmented cone <b>184</b> toward the second end <b>162</b>, and a second segmented cone <b>188</b> that extends from the cylinder <b>186</b> to the second end <b>162</b> of the intermediate link <b>128</b>. According to various embodiments, the segmented hemisphere <b>182</b> represents a portion of a sphere having a diameter on the order of approximately 9.65 millimeters, the first segmented cone <b>184</b> is tapered at an angle on the order of approximately 15° relative to the longitudinal axis <b>164</b>, the cylinder <b>186</b> has a diameter on the order of approximately 5.50 millimeters, and the second segmented cone <b>188</b> is tapered at an angle on the order of approximately 15° relative to the longitudinal axis <b>164</b>. The segmented hemisphere <b>182</b> of the passage <b>180</b> is configured to receive the second end <b>132</b> of the first link <b>124</b> when the first link <b>124</b> is coupled to the intermediate link <b>128</b>. Similarly, for a given intermediate link <b>128</b>, the segmented hemisphere <b>182</b> of the passage <b>180</b> is configured to receive the second end <b>162</b> of another intermediate link <b>128</b> when the other intermediate link <b>128</b> is coupled to the given intermediate link <b>128</b>.
0054The intermediate link <b>128</b> also defines a first through-hole <b>190</b>, a second through-hole <b>192</b>, and a third through-hole <b>194</b>. (See <figref idref="DRAWINGS">FIG. 8C</figref>). The first through-hole <b>190</b> is substantially parallel to the longitudinal axis <b>164</b>, extends from the first portion <b>166</b> toward the second end <b>162</b>, and is positioned between the passage <b>180</b> and the first surface <b>170</b>. The second through-hole <b>192</b> is substantially parallel to the longitudinal axis <b>164</b>, extends from the first portion <b>166</b> to the second end <b>162</b>, and is positioned between the passage <b>180</b> and the first surface <b>170</b>. The third through-hole <b>194</b> is substantially parallel to the longitudinal axis <b>164</b>, extends from the first portion <b>166</b> to the second end <b>162</b>, and is positioned between the passage <b>180</b> and the first surface <b>170</b>. The first, second and third through-holes <b>190</b>, <b>192</b>, <b>194</b> are generally cylindrically shaped. According to various embodiments, the through-holes <b>190</b>, <b>192</b>, <b>194</b> are evenly spaced from one another. The size of each of the through-holes <b>190</b>, <b>192</b>, <b>194</b> may be identical to one another or may be different from one another. For example, according to various embodiments, the respective diameters associated with the through-holes <b>190</b>, <b>192</b>, <b>194</b> may each be on the order of approximately 1.25 millimeters. The first through-hole <b>190</b> is configured to receive and surround the first cable <b>16</b>. The second through-hole <b>192</b> is configured to receive and surround the second cable <b>18</b>. The third through-hole <b>194</b> is configured to receive and surround the third cable <b>20</b>. The first, second and third through-holes <b>190</b>, <b>192</b>, <b>194</b> may serve as guidepaths for movement of the first, second and third cables <b>16</b>, <b>18</b>, <b>20</b>.
0055As shown in <figref idref="DRAWINGS">FIG. 8C</figref>, the intermediate link <b>128</b> also defines first, second and third indents <b>196</b>, <b>198</b>, <b>200</b> at the second end <b>162</b> thereof resulting, in part, from the combination of the taper associated with the second portion <b>168</b> and the configuration and orientation of the first, second, and third grooves <b>174</b>, <b>176</b>, <b>178</b>. The first, second and third indents <b>196</b>, <b>198</b>, <b>200</b> may be evenly spaced about the second end <b>162</b> of the intermediate link <b>128</b> as shown in <figref idref="DRAWINGS">FIG. 8C</figref>. The first, second and third indents <b>196</b>, <b>198</b>, <b>200</b> may serve to reduce the pinching or binding of various tools or instruments (e.g., ablation tools) when one intermediate link <b>128</b> of the second mechanism <b>14</b> is moved relative to another intermediate link <b>128</b> coupled thereto.
0056The intermediate link <b>128</b> also defines fourth, fifth and sixth indents <b>202</b>, <b>204</b>, <b>206</b> at the second end <b>162</b> thereof resulting from the combination of the taper associated with the second portion <b>168</b> and the configuration and orientation of the first, second, and third through-holes <b>190</b>, <b>192</b>, <b>194</b>. The fourth, fifth and sixth indents <b>202</b>, <b>204</b>, <b>206</b> may be evenly spaced about the second end <b>162</b> of the intermediate link <b>128</b>, and may be evenly spaced from the first, second and third indents <b>196</b>, <b>198</b>, <b>200</b> as shown in <figref idref="DRAWINGS">FIG. 8C</figref>. The fourth, fifth and sixth indents <b>202</b>, <b>204</b>, <b>206</b> may serve to reduce the pinching or binding of the first, second and third cables <b>16</b>, <b>18</b>, <b>20</b> when one intermediate link <b>128</b> of the second mechanism <b>14</b> is moved relative to another intermediate link <b>128</b> coupled thereto.
0057According to various embodiments, an intermediate link <b>128</b> may also define an opening (not shown) that extends from the second surface <b>172</b> or from one of the grooves <b>174</b>, <b>176</b>, <b>178</b> to the first surface <b>170</b> of the intermediate link <b>128</b>. The intermediate link <b>128</b> may have any number of such openings, and any number of the intermediate links <b>128</b> may have such openings. The opening may be utilized as an exit point for a tool or instrument which may pass from the first end <b>24</b> of the multi-linked device <b>10</b> toward the second end <b>26</b> of the multi-linked device <b>10</b>. For such embodiments, the respective intermediate link <b>128</b> may be positioned proximate the second link <b>126</b> of the second mechanism <b>14</b>. The opening may be oriented at any angle relative to the longitudinal axis <b>134</b> of the intermediate link <b>128</b>. When the first mechanism <b>12</b> is removed from the second mechanism <b>14</b>, and a relatively large tool or instrument is advanced from the first end <b>120</b> of the second mechanism <b>14</b> to the second end <b>122</b> of the second mechanism <b>14</b>, sufficient room may not exist for a second tool or instrument (e.g., fiber optic cable) to pass through the second end <b>122</b> of the second mechanism <b>14</b>. For such instances, the second tool or instrument may exit through an opening of one of the intermediate links <b>128</b>.
0058With the above described structure, the first link <b>124</b> may be coupled to the intermediate link <b>128</b> by seating the second end <b>132</b> of the first link <b>124</b> in the segmented hemisphere <b>182</b> of the passage <b>180</b> of the intermediate link <b>128</b>. As the convex configuration of the second end <b>132</b> of the first link <b>124</b> generally corresponds with the concave configuration of the segmented hemisphere <b>182</b> of the passage <b>180</b> of the intermediate link <b>128</b>, the first link <b>124</b> may be coupled to the intermediate link <b>128</b> such that the longitudinal axis <b>134</b>, the first, second and third grooves <b>142</b>, <b>144</b>, <b>146</b>, and the first, second and third through-holes <b>154</b>, <b>156</b>, <b>158</b> of the first link <b>124</b> are respectively aligned with the longitudinal axis <b>164</b>, the first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b>, and the first, second and third through-holes <b>190</b>, <b>192</b>, <b>194</b> of the intermediate link <b>128</b>. The intermediate link <b>128</b> may be moved relative to the first link <b>124</b> such that the longitudinal axis <b>164</b> of the intermediate link <b>128</b> is not aligned with the longitudinal axis <b>134</b> of the first link <b>124</b>. According to various embodiments, the configuration of the first link <b>124</b> and the intermediate link <b>128</b> allows for the intermediate link <b>128</b> to be moved relative to the first link <b>124</b> coupled thereto such that the longitudinal axis <b>134</b> of the first link <b>124</b> and the longitudinal axis <b>164</b> of the intermediate link <b>128</b> are up to approximately 10° out of alignment with one another. Similarly, one intermediate link <b>128</b> may be coupled to another intermediate link <b>128</b>, and so on, by seating the second end <b>162</b> of one intermediate link <b>128</b> in the segmented hemisphere <b>182</b> of the passage <b>180</b> of another intermediate link <b>128</b>. As the convex configuration of the second end <b>162</b> of the intermediate link <b>128</b> generally corresponds with the concave configuration of the segmented hemisphere <b>182</b> of the passage <b>180</b> of the intermediate link <b>128</b>, the intermediate links <b>128</b> may be coupled such that the respective longitudinal axes <b>164</b>, the respective first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b>, and the respective first, second and third through-holes <b>190</b>, <b>192</b>, <b>194</b> of the intermediate links <b>128</b> are aligned. The coupled intermediate links <b>128</b> may be moved relative to one another such that the respective longitudinal axes <b>164</b> of the coupled intermediate links <b>128</b> are not aligned. According to various embodiments, the configuration of the coupled intermediate links <b>128</b> allows for one intermediate link <b>128</b> to be moved relative to another intermediate link <b>128</b> coupled thereto such that the respective longitudinal axes <b>164</b> are up to approximately 10° out of alignment with one another.
0059<figref idref="DRAWINGS">FIGS. 9A-9D</figref> illustrate various embodiments of the second link <b>126</b> (outer distal link) of the second mechanism <b>14</b>. The second link <b>126</b> includes a first end <b>208</b> and a second end <b>210</b>, and defines a longitudinal axis <b>212</b> that passes through the center of the first end <b>208</b> and the center of the second end <b>210</b> as shown in <figref idref="DRAWINGS">FIG. 9C</figref>. The second link <b>126</b> may be fabricated from any suitable material. According to various embodiments, the second link <b>126</b> is fabricated from a thermoplastic material such as, for example, Delrin®.
0060The second link <b>126</b> includes a first portion <b>214</b> and a second portion <b>216</b>. The first portion <b>214</b> may be considered the proximal portion and the second portion <b>216</b> may be considered the distal portion. The first portion <b>214</b> may be fabricated integral with the second portion <b>216</b>. The first portion <b>214</b> has a generally cylindrical shaped exterior, and extends from the first end <b>208</b> of the second link <b>126</b> toward the second end <b>210</b> of the second link <b>126</b>. According to various embodiments, the diameter of the first portion <b>214</b> is on the order of approximately 4.80 millimeters.
0061According to various embodiments, the second portion <b>216</b> has a generally cylindrically shaped exterior where it contacts the first portion <b>214</b>, and tapers toward the second end <b>210</b> of the second link <b>126</b>. The exterior of the second portion <b>216</b> is configured in the form of a generally segmented cone. According to various embodiments, the exterior of the second portion <b>216</b> tapers from the first portion <b>214</b> to the second end <b>210</b> of the second link <b>126</b> at an angle on the order of approximately 20° relative to the exterior of the first portion <b>214</b>. The length of the second link <b>126</b> may be on the order of approximately 15 millimeters. However, one skilled in the art will appreciate that the length of the second link <b>126</b> can vary based on the application.
0062The second link <b>126</b> also includes a first surface <b>218</b> that extends from the first end <b>208</b> of the second link <b>126</b> to the second end <b>210</b> of the second link <b>126</b>, and a second surface <b>220</b> that extends from the first end <b>208</b> of the second link <b>126</b> toward the second end <b>210</b> of the second link <b>126</b>. The first surface <b>218</b> may be considered the outer surface of the second link <b>126</b>, and the second surface <b>220</b> may be considered the inner surface of the second link <b>126</b>.
0063The second link <b>126</b> also defines a first port <b>222</b>, a second port <b>224</b>, and a third port <b>226</b>. (See <figref idref="DRAWINGS">FIG. 9B</figref>). The first port <b>222</b> extends from the second surface <b>220</b> to the first surface <b>218</b> and is substantially parallel to the longitudinal axis <b>212</b>. The second port <b>224</b> extends from the second surface <b>220</b> to the first surface <b>218</b> and is substantially parallel to the longitudinal axis <b>212</b>. The third port <b>226</b> extends from the second surface <b>220</b> to the first surface <b>218</b> and is substantially parallel to the longitudinal axis <b>212</b>. The first, second and third ports <b>222</b>, <b>224</b>, <b>226</b> may be cylindrical shaped and may be evenly spaced about the longitudinal axis <b>212</b> of the second link <b>126</b> as shown in <figref idref="DRAWINGS">FIG. 9D</figref>. The size of each of the ports <b>222</b>, <b>224</b>, <b>226</b> may identical to one another or may be different from one another. For example, according to various embodiments, the first and second ports <b>222</b>, <b>224</b> are configured as cylinders having diameters on the order of approximately 1.50 millimeters, and the third port <b>226</b> is configured as a cylinder having a diameter on the order of approximately 2.50 millimeters. The first, second and third ports <b>222</b>, <b>224</b>, <b>226</b> are each configured to receive and surround any of a variety of tools or instruments (e.g., ablation tools) which may pass from the first end <b>24</b> of the multi-linked device <b>10</b> to the second end <b>26</b> of the multi-linked device <b>10</b>.
0064The second link <b>126</b> also defines a first through-hole <b>228</b>, a second through-hole <b>230</b>, and a third through-hole <b>232</b>. (See <figref idref="DRAWINGS">FIG. 9B</figref>). The first through-hole <b>228</b> extends from the second surface <b>220</b> to the first surface <b>218</b> and is substantially parallel to the longitudinal axis <b>212</b>. The second through-hole <b>230</b> extends from the second surface <b>220</b> to the first surface <b>218</b> and is substantially parallel to the longitudinal axis <b>212</b>. The third through-hole <b>232</b> extends from the second surface <b>220</b> to the first surface <b>218</b> and is substantially parallel to the longitudinal axis <b>212</b>. The first, second and third through-holes <b>228</b>, <b>230</b>, <b>232</b> are generally cylindrically shaped. According to various embodiments, the through-holes <b>228</b>, <b>230</b>, <b>232</b> are evenly spaced from one another as shown in <figref idref="DRAWINGS">FIG. 9D</figref>. The size of each of the through-holes <b>228</b>, <b>230</b>, <b>232</b> may be identical to one another or may be different from one another. For example, according to various embodiments, the respective diameters associated with the through-holes <b>228</b>, <b>230</b>, <b>232</b> may each be on the order of approximately 1.25 millimeters. The first through-hole <b>228</b> is configured to receive and surround the first cable <b>16</b>. The second through-hole <b>230</b> is configured to receive and surround the second cable <b>18</b>. The third through-hole <b>232</b> is configured to receive and surround the third cable <b>20</b>. As shown in <figref idref="DRAWINGS">FIG. 9D</figref>, each of the through-holes <b>228</b>, <b>230</b>, <b>232</b> may include a respective counter-bored section <b>228</b><i>a</i>, <b>230</b><i>a</i>, <b>232</b><i>a </i>at the distal end of the through-holes <b>228</b>, <b>230</b>, <b>232</b>.
0065The second link <b>126</b> also defines a recess <b>234</b> that extends from the first end <b>208</b> toward the second end <b>210</b> along the longitudinal axis <b>212</b> as shown in <figref idref="DRAWINGS">FIG. 9C</figref>. According to various embodiments, the recess <b>234</b> is generally configured as a complex shape that includes a combination of a first segmented hemisphere <b>236</b> that extends from the first end <b>208</b> toward the second end <b>210</b>, and a second segmented hemisphere <b>238</b> that extends from the first segmented hemisphere <b>236</b> toward the second end <b>210</b> of the second link <b>126</b>. According to various embodiments, the first segmented hemisphere <b>236</b> represents a portion of a sphere having a diameter on the order of approximately 9.50 millimeters, and second segmented hemisphere <b>238</b> represents a portion of a sphere having a diameter on the order of approximately 7.0 millimeters. The first segmented hemisphere <b>236</b> of the recess <b>234</b> is configured to receive the second end <b>162</b> of an intermediate link <b>128</b> when the intermediate link <b>128</b> is coupled to the second link <b>126</b>.
0066With the above described structure, an intermediate link <b>128</b> may be coupled to the second link <b>126</b> by seating the second end <b>162</b> of the intermediate link <b>128</b> in the first segmented hemisphere <b>236</b> of the recess <b>234</b> of the second link <b>126</b>. As the convex configuration of the second end <b>162</b> of the intermediate link <b>128</b> generally corresponds with the concave configuration of the first segmented hemisphere <b>236</b> of the recess <b>234</b> of the second link <b>126</b>, the inter-mediate link <b>128</b> may be coupled to the second link <b>126</b> such that the longitudinal axis <b>164</b>, the first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b>, and the first, second and third through-holes <b>190</b>, <b>192</b>, <b>194</b> of the intermediate link <b>128</b> are respectively aligned with the longitudinal axis <b>212</b>, the first, second and third ports <b>222</b>, <b>224</b>, <b>226</b>, and the first, second and third through-holes <b>228</b>, <b>230</b>, <b>232</b> of the second link <b>126</b>. The second link <b>126</b> may be moved relative to the intermediate link <b>128</b> coupled thereto such that the respective longitudinal axes <b>164</b>, <b>212</b> are not aligned. According to various embodiments, the configuration of the second link <b>126</b> allows for an intermediate link <b>128</b> coupled thereto to be moved relative to the second link <b>126</b> such that the respective longitudinal axes <b>164</b>, <b>212</b> are up to approximately 10° out of alignment with one another.
0067When the first mechanism <b>12</b> is inserted into the second mechanism <b>14</b>, the first second and third grooves <b>70</b>, <b>72</b>, <b>74</b> of the intermediate links <b>32</b> of the first mechanism <b>12</b> may be substantially aligned with the first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b> of the intermediate links <b>128</b> of the second mechanism <b>14</b>, and the first, second and third grooves <b>98</b>, <b>100</b>, <b>102</b> of the second link <b>30</b> of the first mechanism <b>12</b> may be substantially aligned with the first, second and third ports <b>222</b>, <b>224</b>, <b>226</b> of the second link <b>126</b> of the second mechanism <b>14</b>. The combination of the first grooves <b>70</b> of the intermediate links <b>32</b> of the first mechanism <b>12</b> aligned with the first grooves <b>174</b> of the intermediate links <b>128</b> of the second mechanism <b>14</b> allows the respective first grooves <b>70</b>, <b>174</b> to collectively serve as a first working port that is substantially aligned with the first port <b>222</b> of the second link <b>126</b> of the second mechanism <b>14</b>. As used herein, the term “working port” means a passageway through which a device (e.g., a camera, a fiber optic, an ablation tool, a surgical instrument, etc.) can pass. The first groove <b>70</b> may be considered the inner portion of the first working port and the first groove <b>174</b> may be considered the outer portion of the first working port.
0068Similarly, the combination of the second grooves <b>72</b> of the intermediate links <b>32</b> of the first mechanism <b>12</b> aligned with the second grooves <b>176</b> of the intermediate links <b>128</b> of the second mechanism <b>14</b> allows the respective second grooves <b>72</b>, <b>176</b> to collectively serve as a second working port that is substantially aligned with the second port <b>224</b> of the second link <b>126</b> of the second mechanism <b>14</b>, and the combination of the third grooves <b>74</b> of the intermediate links <b>32</b> of the first mechanism <b>12</b> aligned with the third grooves <b>178</b> of the intermediate links <b>128</b> of the second mechanism <b>14</b> allows the respective third grooves <b>74</b>, <b>178</b> to collectively serve as a third working port that is substantially aligned with the third port <b>226</b> of the second link <b>126</b> of the second mechanism <b>14</b>. The second groove <b>72</b> may be considered the inner portion of the second working port and the second groove <b>176</b> may be considered the outer portion of the second working port. The third groove <b>74</b> may be considered the inner portion of the third working port and the third groove <b>178</b> may be considered the outer portion of the third working port. The first, second and third working ports may be utilized to pass various tools or instruments (e.g., ablation tools) from the first end <b>24</b> of the multi-linked device <b>10</b> to the second end <b>26</b> of the multi-linked device <b>10</b>. For the exemplary sizes described hereinabove, the third working port is larger than the first and second working ports. Accordingly, the third working port may be utilized to carry a particular tool or instrument that is too large to be carried by the first or second working ports.
0069When the respective grooves <b>70</b>, <b>72</b>, <b>74</b>, <b>174</b>, <b>176</b>, <b>178</b> of the respective intermediate links <b>32</b>, <b>128</b> are aligned and collectively surround the various tools and instruments, the combination of the grooves <b>70</b>, <b>72</b>, <b>74</b>, <b>174</b>, <b>176</b>, <b>178</b> and the tools and instruments may serve to limit or prevent the rotation of the first mechanism <b>12</b> relative to the second mechanism <b>14</b>.
0070As the diameter of the passage <b>180</b> of the intermediate link <b>128</b> of the second mechanism <b>14</b> is larger than the diameter of any portion of the first mechanism <b>12</b>, a three-dimensional space <b>240</b> exists between the first mechanism <b>12</b> and the second mechanism <b>14</b> when the first mechanism <b>12</b> is received by the second mechanism <b>14</b> (See <figref idref="DRAWINGS">FIG. 1B</figref>). According to various embodiments, the space <b>240</b> may be utilized to carry wiring, tools, instruments, etc. from the first end <b>24</b> of the multi-linked device <b>10</b> toward the second end <b>26</b> of the multi-linked device <b>10</b>.
0071The first, second and third cables <b>16</b>, <b>18</b>, <b>20</b> may be fabricated from any suitable material. For example, according to various embodiments, the cables <b>16</b>, <b>18</b>, <b>20</b> may be fabricated from a polyethylene fiber cable such as, for example, Spectra®. The cables <b>16</b>, <b>18</b>, <b>20</b> may be utilized to control the movement of the multi-linked device <b>10</b>. For example, by applying a substantially equal tension to each of the cables <b>16</b>, <b>18</b>, <b>20</b>, the first mechanism <b>12</b> and/or second mechanism <b>14</b> may be steered in a direction such that the respective longitudinal axes <b>38</b>, <b>62</b>, <b>90</b>, <b>134</b>, <b>164</b>, <b>212</b> of each of the links <b>28</b>, <b>30</b>, <b>32</b>, <b>124</b>, <b>126</b>, <b>128</b> are all aligned. By applying a different tension to one or more of the cables <b>16</b>, <b>18</b>, <b>20</b>, the first mechanism <b>12</b> and/or the second mechanism <b>14</b> may be steered in a direction such that the respective longitudinal axes <b>38</b>, <b>62</b>, <b>90</b>, <b>134</b>, <b>164</b>, <b>212</b> of each of the links <b>28</b>, <b>30</b>, <b>32</b>, <b>124</b>, <b>126</b>, <b>128</b> are not all aligned. The cables <b>16</b>, <b>18</b>, <b>20</b> may also be utilized to control the relative state of the second mechanism <b>14</b>. For example, when a uniform tension is applied to the cables <b>16</b>, <b>18</b>, <b>20</b>, the second mechanism <b>14</b> is placed in a “rigid” state, and when a tension is removed from the cables <b>16</b>, <b>18</b>, <b>20</b>, the second mechanism <b>14</b> is placed in a “limp” state. According to various embodiments, the cables <b>16</b>, <b>18</b>, <b>20</b> may be attached at the first end <b>130</b> of the first link <b>124</b> of the second mechanism <b>14</b> to respective pullies (not shown) by, for example, respective stopper knots. The cables <b>16</b>, <b>18</b>, <b>20</b> may be attached to the second end <b>132</b> of the second link <b>126</b> of the second mechanism <b>14</b> by, for example, respective stopper knots positioned in the counter-bored sections <b>228</b><i>a</i>, <b>230</b><i>a</i>, <b>232</b><i>a </i>of the second link <b>126</b>. One skilled in the art will appreciate that, according to other embodiments, the “rigid” and “limp” states may be achieved by subjecting the first and/or second mechanisms <b>12</b>, <b>14</b> to a twisting force, or by any other manner known in the art.
0072The fourth cable <b>22</b> may be fabricated from any suitable material. For example, according to various embodiments, the cable <b>22</b> may be fabricated from a polyethylene fiber cable such as, for example, Spectra®. The fourth cable <b>22</b> may be utilized to control the relative state of the first mechanism <b>12</b>. For example, when the fourth cable <b>22</b> is drawn tight, the first mechanism <b>12</b> is placed in a “rigid” state, whereas when the fourth cable <b>22</b> is let loose, the first mechanism <b>12</b> is placed in a “limp” state. According to various embodiments, the fourth cable <b>22</b> may be attached at the first end <b>34</b> of the first link <b>28</b> of the first mechanism <b>12</b> to a pulley (not shown) by, for example, a stopper knot. The fourth cable <b>22</b> may be attached to the second end <b>88</b> of the second link <b>30</b> of the first mechanism <b>12</b> by, for example, a stopper knot.
0073<figref idref="DRAWINGS">FIG. 10</figref> illustrates various embodiments of a motion sequence of the steerable multi-linked device <b>10</b>. At the start of the sequence, the second mechanism <b>14</b> surrounds the first mechanism <b>12</b> as shown in step “a” of <figref idref="DRAWINGS">FIG. 10</figref>, the longitudinal axes <b>38</b>, <b>62</b>, <b>90</b> of the links <b>28</b>, <b>30</b>, <b>32</b> of the first mechanism <b>12</b> are substantially aligned with the respective longitudinal axes <b>134</b>, <b>164</b>, <b>212</b> of the links <b>124</b>, <b>126</b>, <b>128</b> of the second mechanism, and the second end <b>26</b> of the first mechanism <b>12</b> is at substantially the same position as the second end <b>122</b> of the second mechanism <b>14</b>. The fourth cable is pulled tight, thereby placing the first mechanism <b>12</b> in the rigid mode. The cables <b>16</b>, <b>18</b>, <b>20</b> are not pulled tight, thereby placing the second mechanism <b>14</b> in the limp mode.
0074The second mechanism <b>14</b> is then advanced so that its second link <b>126</b> is positioned approximately one link ahead of the second end <b>24</b> of the first mechanism <b>12</b> as shown in step “b” of <figref idref="DRAWINGS">FIG. 10</figref>. The cables <b>16</b>, <b>18</b>, <b>20</b> may be utilized to orient the second link <b>126</b> to a particular orientation, where the longitudinal axis <b>134</b> of the first link <b>124</b> is no longer aligned with the longitudinal axes <b>164</b> of the intermediate links <b>128</b> of the second mechanism <b>14</b> or the longitudinal axis <b>90</b> of the second link <b>30</b> of the first mechanism <b>12</b>. After the second link <b>126</b> is in the desired position and orientation, the cables <b>16</b>, <b>18</b>, <b>20</b> are pulled with identical force in order to place the second mechanism <b>14</b> in the rigid mode, thereby preserving the position and orientation of the second mechanism <b>14</b>.
0075The pulling force of the fourth cable <b>22</b> is then released to place the first mechanism <b>12</b> the limp mode. After the first mechanism <b>12</b> is placed in the limp mode, the first mechanism <b>12</b> is advanced so that its second link <b>30</b> is at substantially the same position as the second end <b>122</b> of the second mechanism <b>14</b> as shown in step “c” of <figref idref="DRAWINGS">FIG. 10</figref>. After the second link <b>30</b> of the first mechanism <b>12</b> is in the desired position and orientation, the fourth cable <b>22</b> is pulled tight to place the first mechanism <b>12</b> back in the rigid mode, thereby preserving the position and orientation of the first mechanism <b>12</b>.
0076The pulling forces of the cables <b>16</b>, <b>18</b>, <b>20</b> are then released to place the second mechanism <b>14</b> back in the limp mode. After the second mechanism <b>14</b> is placed back in the limp mode, the second mechanism <b>14</b> is advanced so that its second link <b>126</b> is once again positioned approximately one link ahead of the second end <b>26</b> of the first mechanism <b>12</b> as shown in step “d” of <figref idref="DRAWINGS">FIG. 10</figref>. After the second link <b>126</b> is in the desired position and orientations the cables <b>16</b>, <b>18</b>, <b>20</b> are pulled with identical force in order to place the second mechanism <b>14</b> in the rigid mode, thereby preserving the position and orientation of the second mechanism <b>14</b>.
0077The pulling force of the fourth cable <b>22</b> is then released to place the first mechanism <b>12</b> back in the limp mode. After the first mechanism <b>12</b> is placed back in the limp mode, the first mechanism <b>12</b> is advanced so that its second link <b>30</b> is once again at substantially the same position as the second end <b>122</b> of the second mechanism <b>14</b> as shown in step “e” of <figref idref="DRAWINGS">FIG. 10</figref>. After the second link <b>30</b> of the first mechanism <b>12</b> is in the desired position and orientation, the fourth cable <b>22</b> is pulled tight to place the first mechanism <b>12</b> back in the rigid mode, thereby preserving the position and orientation of the first mechanism <b>12</b>. The general motion sequence described hereinabove, may be repeated any number of times, and the second link <b>126</b> of the second mechanism <b>14</b> may be advancing in any direction and orientation. One skilled in the art will appreciate that any number of motion sequences may be utilized with the multi-linked device <b>10</b>. For example, according to various embodiments, the second mechanism <b>14</b> may advance any number of links ahead of the first mechanism <b>12</b>.
0078The exemplary sizes described hereinabove are generally relative to each other, and one skilled in the art will appreciate that the multi-linked device <b>10</b> can be scaled up or scaled down. For example, although the diameter at the largest portion of the intermediate link <b>128</b> of the multi-linked device <b>10</b> is on the order of approximately 9.65 millimeters for the embodiments described hereinabove, one skilled in the art will appreciate that, for other embodiments, the intermediate link <b>128</b> can be scaled down such that the diameter at the largest portion of the intermediate link <b>128</b> of the multi-linked device <b>10</b> is on the order of approximately 1.0 millimeter. For such embodiments, each of the other components of the multi-linked device <b>10</b> would also be proportionally scaled down.
0079The combination of the unique configuration of the respective links <b>28</b>, <b>30</b>, <b>32</b> which comprise the first mechanism <b>12</b> and the unique configuration of the respective links <b>124</b>, <b>126</b>, <b>128</b> which comprise the second mechanism <b>14</b> provides the multi-linked device <b>10</b> with the ability to traverse a path defined by the circumference of a circle having a relatively small radius. For example, for the exemplary sizes described hereinabove, the multi-linked device <b>10</b> can traverse a path defined by the circumference of a circle having a radius on the order of approximately 40 millimeters. An example of the multi-linked device <b>10</b> navigating such tight curvatures is shown in <figref idref="DRAWINGS">FIG. 11</figref>. For embodiments where the outer diameter of the multi-linked device <b>10</b> is on the order of approximately 1.0 millimeter, the multi-linked device <b>10</b> can traverse a path defined by the circumference of a circle having a radius on the order of approximately 4.0 millimeters. Stated differently, the multi-linked device <b>10</b> can traverse a path defined by circumference of a circle having a radius which is approximately only four times the outer diameter of the device. One skilled in the art will appreciate that the ability to navigate such tight curvatures makes the multi-linked device <b>10</b> suitable for use in a number of different minimally invasive procedures, both in luminal spaces and in intracavity spaces.
0080<figref idref="DRAWINGS">FIGS. 12A-12C</figref> illustrate various embodiments of the modular link assembly <b>300</b>. When utilized with the steerable multi-linked device <b>10</b> described hereinabove, the modular link assembly <b>300</b> may replace the second link <b>126</b> of the second mechanism <b>14</b>, and may thus serve as the distal link of the second mechanism <b>14</b>. The modular link assembly <b>300</b> includes a base <b>302</b>, and a tip <b>304</b> removably connected to the base <b>302</b>. The link assembly <b>300</b> may be considered “modular” in that a variety of different tips <b>304</b> may be connected to and removed from the base <b>302</b>. The specific type of tip <b>304</b> utilized at a given point in time may vary depending on the particular application.
0081The tip <b>304</b> is shown connected to the base <b>302</b> in <figref idref="DRAWINGS">FIG. 12A</figref>, and is shown removed from the base <b>302</b> in <figref idref="DRAWINGS">FIG. 12B</figref>. The tip <b>304</b> may be removably connected to the base <b>302</b> in any suitable manner. According to various embodiments, the tip <b>304</b> may be threadedly connected to the base <b>302</b> as shown in <figref idref="DRAWINGS">FIG. 12C</figref>. According to other embodiments, the tip <b>304</b> may be connected to the base <b>302</b> via a snap-fit or any other suitable connection. Those skilled in the art will appreciate that a variety of different connection types may be utilized to connect the tip <b>304</b> to the base <b>302</b>. By way of example, the modular link assembly <b>300</b> will be described for embodiments where the tip <b>304</b> is removably connected to the base <b>302</b> via a threaded connection. However, those skilled in the art will appreciate that the tip <b>304</b> may be removably connected to the base <b>302</b> in any suitable manner.
0082<figref idref="DRAWINGS">FIGS. 13A-13C</figref> illustrate various embodiments of the base <b>302</b> of the modular link assembly <b>300</b>. The base <b>302</b> includes a first end <b>306</b> and a second end <b>308</b>, and defines a longitudinal axis <b>310</b> that passes through the center of the first end <b>306</b> and the center of the second end <b>308</b> as shown in <figref idref="DRAWINGS">FIG. 13B</figref>. The base <b>302</b> may be fabricated from any suitable material. According to various embodiments, the base <b>302</b> is fabricated from a thermoplastic material such as, for example, Delrin®. According to other embodiments, the base <b>302</b> may be fabricated from, for example, an inert metal.
0083The base <b>302</b> includes a first portion <b>312</b>, and a second portion <b>314</b> connected to the first portion <b>312</b>. According to various embodiments, the first portion <b>312</b> may be formed integral with the second portion <b>314</b>. The first portion <b>312</b> includes a first end <b>316</b> and a second end <b>318</b>, extends from the first end <b>306</b> of the base <b>302</b> toward the second end <b>308</b> of the base <b>302</b>, and has a generally cylindrical shaped exterior. According to various embodiments, the diameter of the first portion <b>312</b> is on the order of approximately 9.65 millimeters, and the length of the first portion <b>312</b> is on the order of approximately 3.85 millimeters. However, one skilled in the art will appreciate that the diameter and length of the first portion <b>312</b> can vary based on the application. The first portion <b>312</b> also includes a first surface <b>320</b> and a second surface <b>322</b>. (See <figref idref="DRAWINGS">FIG. 13B</figref>). The first surface <b>320</b> may be considered the outer surface of the first portion <b>312</b>, and the second surface <b>322</b> may be considered the inner surface of the first portion <b>312</b>.
0084The first portion <b>312</b> of the base <b>302</b> defines a first through-hole <b>324</b>, a second through-hole <b>326</b>, and a third through-hole <b>328</b>. (See <figref idref="DRAWINGS">FIG. 13C</figref>). Each of the through-holes <b>324</b>, <b>326</b>, <b>328</b> are substantially parallel to the longitudinal axis <b>310</b>, and include a first section <b>330</b> that extends from the second surface <b>322</b> toward the second end <b>318</b> of the first portion <b>312</b>, and a second section <b>332</b> that extends from the first section <b>330</b> to the second end <b>318</b> of the first portion <b>312</b>. (See <figref idref="DRAWINGS">FIG. 13B</figref>). The respective second sections <b>332</b> may be considered counter-bored sections. Each of the first and second sections <b>330</b>, <b>332</b> of the first, second and third through-holes <b>324</b>, <b>326</b>, <b>328</b> may be cylindrically shaped, and may be evenly spaced about the longitudinal axis <b>310</b> of the base <b>302</b> as shown in <figref idref="DRAWINGS">FIG. 13C</figref>. The size of each of the first sections <b>330</b> may be identical to one another or may be different from one another. For example, according to various embodiments, the respective diameters associated with the first sections <b>330</b> may each be on the order of approximately 1 millimeter. Similarly, the size of each of the second sections <b>332</b> may be identical to one another or may be different from one another. For example, according to various embodiments, the respective diameters associated with the second sections <b>332</b> may each be on the order of approximately 2 millimeters. The first through-hole <b>324</b> is configured to receive and surround the first cable <b>16</b> of the multi-linked device <b>10</b>. The second through-hole <b>326</b> is configured to receive and surround the second cable <b>18</b> of the device <b>10</b>. The third through-hole <b>328</b> is configured to receive and surround the third cable <b>20</b> of the device <b>10</b>.
0085According to various embodiments, the first portion <b>312</b> also defines a first port <b>334</b>, a second port <b>336</b>, and a third port <b>338</b>. (See <figref idref="DRAWINGS">FIG. 13C</figref>). The first port <b>334</b> extends from the second surface <b>322</b> of the first portion <b>312</b> to the second end <b>318</b> of the first portion <b>312</b>, and is substantially parallel to the longitudinal axis <b>310</b>. The second port <b>336</b> extends from the second surface <b>322</b> of the first portion <b>312</b> to the second end <b>318</b> of the first portion <b>312</b>, and is substantially parallel to the longitudinal axis <b>310</b>. The third port <b>338</b> extends from the second surface <b>322</b> of the first portion <b>312</b> to the second end <b>318</b> of the first portion <b>312</b>, and is substantially parallel to the longitudinal axis <b>310</b>. The first, second and third ports <b>334</b>, <b>336</b>, <b>338</b> may be cylindrical shaped and may be evenly spaced about the longitudinal axis <b>310</b> of the base <b>302</b> as shown in <figref idref="DRAWINGS">FIG. 13C</figref>. The size of each of the ports <b>334</b>, <b>336</b>, <b>338</b> may identical to one another or may be different from one another. For example, according to various embodiments, the first and second ports <b>334</b>, <b>336</b> are configured as cylinders having diameters on the order of approximately 1.50 millimeters, and the third port <b>338</b> is configured as a cylinder having a diameter on the order of approximately 2.50 millimeters. The first, second and third ports <b>334</b>, <b>336</b>, <b>338</b> are each configured to receive and surround any of a variety of tools or instruments (e.g. ablation tools) which may pass from the first end <b>24</b> of the multi-linked device <b>10</b> toward the second end <b>26</b> of the multi-linked device <b>10</b>.
0086The second portion <b>314</b> of the base <b>302</b> includes a first end <b>340</b> and a second end <b>342</b>, extends from the second end <b>318</b> of the first portion <b>312</b> to the second end <b>308</b> of the base <b>302</b>, and has a generally cylindrically shaped exterior. According to various embodiments, the diameter of the second portion <b>314</b> is on the order of approximately 5 millimeters, and the length of the second portion <b>314</b> is on the order of approximately 4 millimeters. However, one skilled in the art will appreciate that the diameter and length of the second portion <b>314</b> can vary based on the application. The second portion <b>314</b> also includes a first surface <b>344</b> and a second surface <b>346</b>. The first surface <b>344</b> may be considered the outer surface of the second portion <b>314</b>, and the second surface <b>346</b> may be considered the inner surface of the second portion <b>314</b>. As shown in <figref idref="DRAWINGS">FIGS. 13A and 133B</figref>, the first surface <b>344</b> of the second portion <b>314</b> may define a plurality of threads <b>348</b>.
0087According to various embodiments, the threads <b>348</b> may define first, second and third grooves <b>350</b>, <b>352</b>, <b>354</b> which are respectively aligned with the first, second and third ports <b>334</b>, <b>336</b>, <b>338</b> (See <figref idref="DRAWINGS">FIG. 13A</figref>). Thus, the first, second and third grooves <b>350</b>, <b>352</b>, <b>354</b> are also evenly spaced about the longitudinal axis <b>310</b> of the base <b>302</b>. As explained herein below, the grooves <b>350</b>, <b>352</b><b>354</b> may cooperate with grooves defined by an interior surface of the tip <b>304</b> to form ports aligned with the first, second and third ports <b>334</b>, <b>336</b>, <b>338</b> of the first portion <b>312</b>.
0088Collectively, the first and second portions <b>312</b>, <b>314</b> also define a passage <b>356</b> that extends from the first end <b>306</b> of the base <b>302</b> to the second end <b>308</b> of the base <b>302</b> along the longitudinal axis <b>310</b> as shove in <figref idref="DRAWINGS">FIG. 13B</figref>. According to various embodiments, the passage <b>356</b> is generally configured as a complex shape that includes a combination of a first segmented hemisphere <b>358</b> that extends from the first end <b>306</b> toward the second end <b>308</b>, a second segmented hemisphere <b>360</b> that extends from the first segmented hemisphere <b>358</b> toward the second end <b>308</b>, and a cylinder <b>362</b> that extends from the second segmented cylinder <b>360</b> to the second end <b>308</b> of the base <b>302</b>. According to various embodiments, the first segmented hemisphere <b>358</b> represents a portion of a sphere having a diameter on the order of approximately 9.65 millimeters, the second segmented hemisphere <b>360</b> represents a portion of a sphere having a diameter on the order of approximately 8.0 millimeters, and the cylinder has a diameter on the order of approximately 2.85 millimeters. The first segmented hemisphere <b>358</b> of the passage <b>356</b> is configured to receive the second end <b>162</b> of an intermediate link <b>128</b> of the multi-linked device <b>10</b> when the intermediate link <b>128</b> is coupled to the base <b>302</b>.
0089With the above described structure, the most distal intermediate link <b>128</b> may he coupled to the base <b>302</b> by seating the second end <b>162</b> of the most distal intermediate link <b>128</b> in the first segmented hemisphere <b>358</b> of the passage <b>356</b> of the base <b>302</b>. As the convex configuration of the second end <b>162</b> of the most distal intermediate link <b>128</b> generally corresponds with the concave configuration of the first segmented hemisphere <b>358</b> of the passage <b>356</b> of the base <b>302</b>, the most distal intermediate link <b>128</b> may be coupled to the base <b>302</b> such that the longitudinal axis <b>164</b>, the first, second and third grooves <b>174</b>, <b>176</b>, <b>178</b>, and the first, second and third through-holes <b>190</b>, <b>192</b>, <b>194</b> of the most distal intermediate link <b>128</b> are respectively aligned with the longitudinal axis <b>310</b>, the first, second and third ports <b>334</b>, <b>336</b>, <b>338</b>, and the first, second and third through-holes <b>324</b>, <b>326</b>, <b>328</b> of the base <b>302</b>. The base <b>302</b> may be moved relative to the intermediate link <b>128</b> coupled thereto such that the respective longitudinal axes <b>164</b>, <b>310</b> are not aligned. According to various embodiments, the configuration of the base <b>302</b> allows for an intermediate link <b>128</b> coupled thereto to be moved relative to the base <b>302</b> such that the respective longitudinal axes <b>164</b>, <b>310</b> are up to approximately 10° out of alignment with one another. According to various embodiments, the base <b>302</b> may be permanently coupled to the most distal intermediate link <b>128</b> via the cables <b>16</b>, <b>18</b>, <b>20</b> which pass through the most distal intermediate link <b>128</b>. For example, the cables <b>16</b>, <b>18</b>, <b>20</b> may be attached to the base <b>302</b> of the modular link assembly <b>300</b> by, for example, respective stopper knots positioned in the second sections <b>332</b> (counter-bored sections) of the base <b>302</b>. By controlling the tension placed on each of the cables <b>16</b>, <b>18</b>, <b>20</b>, the cables <b>16</b>, <b>18</b>, <b>20</b> may be utilized to control the movement of the base <b>302</b> relative to the most distal intermediate link <b>128</b>.
0090<figref idref="DRAWINGS">FIGS. 14A-14D</figref> illustrate various embodiments of the tip <b>304</b> of the modular link assembly <b>300</b>. The tip <b>304</b> includes a first end <b>364</b> and a second end <b>366</b>, and defines a longitudinal axis <b>368</b> that passes through the center of the first end <b>364</b> and the center of the second end <b>366</b> as shown in <figref idref="DRAWINGS">FIG. 14C</figref>. The tip <b>304</b> may be fabricated from any suitable material. According to various embodiments, the tip <b>304</b> is fabricated from a thermoplastic material such as, for example, Delrin®.
0091The exterior of the tip <b>304</b> is configured in the form of a generally segmented cone, and tapers from the first end <b>364</b> toward the second end <b>366</b> thereof. According to various embodiments, the exterior of the tip <b>304</b> tapers from the first end <b>364</b> to the second end <b>366</b> at an angle on the order of approximately 15° relative to the longitudinal axis <b>368</b>. According to various embodiments, the diameter of the tip <b>304</b> at the first end <b>364</b> is on the order of approximately 9.65 millimeters, the diameter of the tip <b>304</b> at the second end <b>366</b> is on the order of approximately 3.33 millimeters, and the length of the tip <b>304</b> is on the order of approximately 14.5 millimeters. However, one skilled in the art will appreciate that the respective diameters and the length of the tip <b>304</b> can vary based on the application.
0092The tip <b>304</b> also includes a first surface <b>370</b> that extends from the first end <b>364</b> to the second end <b>366</b> thereof, and a second surface <b>372</b> that extends from the first end <b>364</b> toward the second end <b>366</b> thereof. The first surface <b>370</b> may be considered the outer surface of the tip <b>304</b>, and the second surface <b>372</b> may be considered the inner surface of the tip <b>304</b>.
0093As shown in <figref idref="DRAWINGS">FIG. 14B</figref>, the second surface <b>372</b> may define a plurality of threads <b>374</b> which are structured and arranged to cooperate with the threads <b>348</b> of the base <b>302</b> to threadably connect the tip <b>304</b> to the base <b>302</b>. The second surface <b>372</b> may also define first, second and third grooves <b>376</b>, <b>378</b>, <b>380</b> which may be evenly spaced about the longitudinal axis <b>368</b> of the tip <b>304</b> and may be respectively aligned with the first, second and third grooves <b>350</b>, <b>352</b>, <b>354</b> of the base <b>302</b> when the tip <b>304</b> is threadedly connected to the base <b>302</b>. As explained hereinabove, the grooves <b>376</b>, <b>378</b>, <b>380</b> may cooperate with grooves <b>350</b>, <b>352</b>, <b>354</b> to form portions of first, second and third ports <b>382</b>, <b>384</b>, <b>386</b> (See <figref idref="DRAWINGS">FIG. 14D</figref>) which may be respectively aligned with the first, second and third ports <b>334</b>, <b>336</b>, <b>338</b> of the first portion <b>312</b> of the base <b>302</b> when the tip <b>304</b> is threadedly connected to the base <b>302</b>. Other portions of the first, second and third ports <b>382</b>, <b>384</b>, <b>386</b> may be defined by the second surface <b>372</b>, and may extend from the threads <b>374</b> to the first surface <b>370</b> of the tip <b>304</b>. The first, second and third ports <b>382</b>, <b>384</b>, <b>386</b> may each be substantially parallel to the longitudinal axis <b>368</b> and may be generally cylindrical shaped.
0094With the threaded connection, the distance between the first portion <b>312</b> of the base <b>302</b> and the first end <b>364</b> of the tip <b>304</b> can be adjusted by simply rotating the tip <b>304</b> about the second portion <b>314</b> of the base <b>302</b>. Stated differently, with the threaded connection, the overall length of the modular link assembly <b>300</b> can be adjusted by simply rotating the tip <b>304</b> about the second potion <b>314</b> of the base <b>302</b>. Rotation of the tip <b>304</b> about the second portion <b>314</b> of the base <b>302</b> may also serve to open or close the ports <b>382</b>, <b>384</b>, <b>386</b> formed by the cooperation of the grooves <b>376</b>, <b>378</b>, <b>380</b> with the grooves <b>350</b>, <b>352</b>, <b>354</b>.
0095As shown in <figref idref="DRAWINGS">FIG. 14D</figref>, the first, second and third ports <b>382</b>, <b>384</b>, <b>386</b> may be evenly spaced about the longitudinal axis <b>368</b> of the tip <b>304</b>. The size of each of the ports <b>382</b>, <b>384</b>, <b>386</b> may identical to one another or may be different from one another. For example, according to various embodiments, the first and second ports <b>382</b>, <b>384</b> are configured as cylinders having diameters on the order of approximately 1.50 millimeters, and the third port <b>386</b> is configured as a cylinder having a diameter on the order of approximately 2.50 millimeters. As shown in <figref idref="DRAWINGS">FIG. 14A</figref>, the generally conical shape of the tip <b>304</b> operates to “remove” a portion of each “cylinder” proximate the second end <b>366</b> of the tip <b>304</b>. The first, second and third ports <b>382</b>, <b>384</b>, <b>386</b> are each configured to receive and surround any of a variety of tools or instruments (e.g. ablation tools) which may pass from the first end <b>24</b> of the multi-linked device <b>10</b> toward the second end <b>26</b> of the multi-linked device <b>10</b>.
0096The second surface <b>372</b> also defines a recess <b>388</b> that extends from the first end <b>364</b> of the tip <b>304</b> toward the second end <b>366</b> along the longitudinal axis <b>368</b> as shown in <figref idref="DRAWINGS">FIG. 14C</figref>. According to various embodiments, the recess <b>388</b> is generally configured as a complex shape that includes a combination of a first cylinder <b>390</b> that extends from the first end <b>364</b> toward the second end <b>366</b>, a second cylinder <b>392</b> that extends from the first cylinder <b>392</b> toward the second end <b>366</b>. The complex shape may further include a cone <b>394</b> that extends from the second cylinder <b>392</b> toward the second end <b>366</b> of the tip <b>304</b>.
0097As described hereinabove, according to various embodiments, the tip <b>304</b> and base <b>302</b> may be structured and arranged such that the tip <b>304</b> is connected to the base <b>302</b> via a snap-fit connection or other type of connection. For embodiments utilizing a snap-fit connection, the tip <b>304</b> may still be rotated about the second portion <b>314</b> of the base <b>302</b>, and rotation of the tip <b>304</b> may still serve to open or close the ports <b>382</b>, <b>384</b>, <b>386</b>. Regardless of the type of connection, the movement of the tip <b>304</b> in both luminal spaces and intracavity spaces may be controlled by controlling the movement of the base <b>302</b> when the tip <b>304</b> is connected to the base <b>302</b>. As described hereinabove, the movement of the base <b>302</b> may be controlled by controlling the tension placed on each of the cables <b>16</b>, <b>18</b>, <b>20</b> coupled to the base <b>302</b>.
0098As shown in <figref idref="DRAWINGS">FIG. 15</figref>, the modular link assembly <b>300</b> may also include a printed circuit board <b>396</b>. For purposes of clarity, the components of the modular link assembly <b>300</b> are shown in an exploded view. The printed circuit board <b>396</b> defines an opening <b>398</b> which allows the printed circuit board <b>396</b> to partially or fully surround the second portion <b>314</b> of the base <b>302</b>. According to various embodiments, the opening <b>398</b> is a threaded opening, and the printed circuit board <b>396</b> may be threadedly connected to the base <b>302</b>. For such embodiments, the printed circuit board <b>396</b> may define first, second and third grooves (not shown for purposes of clarity) which may be respectively aligned with the first, second and third grooves <b>350</b>, <b>352</b>, <b>354</b> of the base <b>302</b> when the printed circuit board <b>396</b> is threadedly connected to the base <b>302</b>. The grooves defined by the printed circuit board <b>396</b> may cooperate with grooves <b>350</b>, <b>352</b>, <b>354</b> of the second portion <b>314</b> of the base <b>302</b> to form portions of first, second and third ports <b>382</b>, <b>384</b>, <b>386</b> which are respectively aligned with the first, second and third ports <b>334</b>, <b>336</b>, <b>338</b> of the first portion <b>312</b> of the base <b>302</b>.
0099According to other embodiments, the opening <b>398</b> may be configured to allow the printed circuit board <b>396</b> to be slid into position between the base <b>302</b> and the tip <b>304</b>. For such embodiments, the printed circuit board <b>396</b> may be structured and arranged in any suitable shape. For example, for such embodiments, the printed circuit board <b>396</b> may be configured in the shape of a closed ring, an open ring, a horseshoe, etc.
0100The position of the printed circuit board <b>396</b> between the base <b>302</b> and the tip <b>304</b> may be maintained in any suitable manner. For example, according to various embodiments, the second portion <b>314</b> of the base <b>302</b> and the opening <b>398</b> of the printed circuit board <b>396</b> may cooperate to constrain lateral movement of the printed circuit board <b>396</b>. Axial movement of the printed circuit board <b>396</b> may be constrained, for example, by the threaded connection between the base <b>302</b> and the printed circuit board <b>396</b>, and/or by the connection (threaded, snap-fit, etc.) between the tip <b>304</b> and the base <b>302</b>.
0101According to various embodiments, the tip <b>304</b> may further include an electronic device and the printed circuit board <b>396</b> may serve as the point of attachment for such a device. The electronic device may be embodied as, for example, a light emitting diode, an imaging device (e.g., a camera, an ultrasonic probe, etc.), a solenoid, a piezoelectric device, a sensor (e.g., a MEMS biosensor), etc. Power may be delivered to the printed circuit board <b>396</b> in any suitable manner. For example, according to various embodiments, at least two conductors connected to an external power source (e.g., a feeder which actuates movements of the steerable multi-linked device <b>10</b>) may be run from the proximal end of the multi-linked device <b>10</b> to the printed circuit board <b>396</b> via the three-dimensional space <b>240</b> that exists between the first mechanism <b>12</b> and the second mechanism <b>14</b> when the first mechanism <b>12</b> is received by the second mechanism <b>14</b>. In other embodiments, the conductors may be run from the proximal end of the multi-linked device <b>10</b> to the printed circuit board <b>396</b> via one of the working ports.
0102While several embodiments of the invention have been described herein by way of example, those skilled in the art will appreciate that various modifications, alterations, and adaptions to the described embodiments may be realized without departing from the spirit and scope of the invention defined by the appended claims.
Contents5
38 sheets
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Numbers
- Publication
- 8397481
- Application
- 13353971
Titles
- English
- Steerable multi-linked device having a modular link assembly
Patent term adjustment
- Net adjustment
- 0 days
Classification
- CPC, 9
- A61B90/50
- A61B1/005
- A61B2017/003
- A61M25/0105
- B25J9/06
- B25J18/06
- Y10T74/20213
- Y10T74/20305
- F16G13/18
- IPC, 3
- A61B1 32
- A61B1 00
- F16G13 16